Individual
MARC C ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 ROYAL PALM PT STE 100, VERO BEACH, FL 32960-4270
(772) 564-1799
(772) 494-1975
Mailing address
PO BOX 644373, VERO BEACH, FL 32964-4373
(772) 564-1799
(772) 494-1975
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
ME 48626
FL
208800000X
Urology Physician
Primary
ME48626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31193
FL BLUE
FL
01
—
88244226132960A003
TRICARE - MILITARY
—
01
—
P02682780
RAILROAD MEDICARE
—
Enumeration date
07/08/2005
Last updated
04/04/2023
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